Clinical performance of a hybrid resin composite with and without an intermediate layer of flowable resin composite: A 7-year evaluation

Abstract

Objective

The objective of this prospective clinical follow up was to evaluate the long term clinical performance of a hybrid resin composite in Class II restorations with and without intermediate layer of flowable resin composite.

Methods

Each participant received at least two, as similar as possible, Class II restorations of the hybrid resin composite. One resin composite restoration of each pair (59) was chosen at random to be restored with an intermediary layer with flowable resin composite. The other was restored without. The 118 restorations were evaluated using slightly modified USPHS criteria at baseline and then yearly during 7 years.

Results

Four drop outs were registered during the 7-year follow up (2 with and 2 without flowable) restorations. A prediction of the caries risk showed that 18 of the evaluated 46 patients were considered as high risk patients. Seventeen failures were observed, 8 in restorations with and 9 in restorations without an intermediate layer of flowable resin composite, resulting in a 14.9% failure rate after 7 years. The main reasons for failure were: fracture of resin composite (8), secondary caries (4) and cusp fracture (3). No statistical difference was seen between restorations restored with and without flowable layer.

Conclusion

The hybrid resin composite showed a good clinical performance during the 7-year evaluation. The use of flowable resin composite as an intermediate layer did not result in improved effectiveness of the Class II restorations

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About Me

Martin Jablow DMD, is America's Dental Technology Coach. He practices general dentistry in a group setting in Woodbridge, NJ. Dr. Jablow promotes the use of technology in the dental office to improve efficiency and patient care. He lectures and writes articles on the use of technology to enhance the practice of dentistry. Dr. Jablow can be reached by email at marty at dentaltechnologycoach dot com